title: Management of epididymal cysts in childhood.
abstract: BACKGROUND
  A retrospective review was carried out to evaluate the clinical presentation of children with epididymal cysts (EC) and outcome of management at our institution.
  
  
  METHODS
  There were 49 patients with EC in this series. The diagnosis of EC was made by physical examination and confirmed by ultrasound (US).
  
  
  RESULTS
  The average age at presentation was 10.7 years (2 months-16 years). Scrotal mass (n: 22) and pain (n: 21) were the most frequent symptoms. Seven patients were lost to follow-up. The cysts were solitary in 32 patients and multiple in 10 patients. The mean value of cysts was 6.7 mm (2-20 mm). The cyst localisations were 22 in left, 16 in right, and bilateral in 4 patients. Complete involution of cysts was detected in 14 children. The average involution time was 11.2 months (1-37 months). In 20 cases, a decrease in cyst size was found. Cyst excision was performed in 8 patients with persistent scrotal pain or no cyst involution observed during follow-up.
  
  
  CONCLUSIONS
  Conservative management of epididymal cysts is practical. However, surgical excision is recommended in patients with intractable scrotal pain or if the cyst size does not seem to involute.
authors.affiliation: Department of Pediatric Surgery, Dr. Behcet Uz Children's Hospital, Izmir, Turkey. Electronic address: verikci@yahoo.com.
authors.forename: Volkan
authors.initials: V
authors.lastname: Erikci
authors.forename: Münevver
authors.initials: M
authors.lastname: Hoşgör
authors.forename: Nail
authors.initials: N
authors.lastname: Aksoy
authors.forename: Özkan
authors.initials: Ö
authors.lastname: Okur
authors.forename: Melih
authors.initials: M
authors.lastname: Yildiz
authors.forename: Ahmet
authors.initials: A
authors.lastname: Dursun
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Demircan
authors.forename: Yilmazcan
authors.initials: Y
authors.lastname: Örnek
authors.forename: İncinur
authors.initials: İ
authors.lastname: Genişol
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003560:Cysts / Q000175:diagnosis* / Q000628:therapy*; D004822:Epididymis / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D010808:Physical Examination; D012189:Retrospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography; D057832:Watchful Waiting
keywords: Cysts; Epididymis; Testis